Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01058 | Date 11/09/2018 |
| Token No | SM/19-20/1172 18/04/2019 | Serial | 085 Last Visit: 02/03/2023 |
| Patient Name | Mrs. REBA ADHIKARY | Contact No | 9007638729 |
| Address | 13/1 CHATRA CHOWDHURY PARA | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||